NCLEX-PN® ExaminationPsychosocial IntegrityHard
A practical nurse is working with a client who is hesitant to discuss their feelings about a recent diagnosis due to cultural beliefs about expressing vulnerability. Which nursing action best demonstrates cultural awareness and promotes therapeutic communication?
- ARespect the client's silence and continue with routine physical care.
- BDirectly ask the client if their culture discourages emotional expression.
- COffer alternative ways for the client to express themselves, such as journaling or drawing.
- DExplain the importance of expressing feelings for mental health.
Show answer & explanationAnswer & explanation
Correct answer: C. Offer alternative ways for the client to express themselves, such as journaling or drawing.
This option demonstrates cultural awareness by recognizing that direct verbal expression may not be culturally appropriate or comfortable for the client. Offering alternative, non-verbal methods of expression respects their cultural beliefs while still providing an outlet for processing emotions, thus promoting therapeutic communication in a culturally sensitive manner.
Why the other options are wrong
- A. While respecting silence is important, completely avoiding the topic of feelings might prevent the client from processing their diagnosis, which is a key part of therapeutic care.
- B. While a direct question, it can put the client on the spot and make them feel singled out or defensive. A more indirect, supportive approach is often better.
- D. This may be perceived as dismissive of the client's cultural values and could create a barrier to trust.
Cultural Awareness: Emotional Expression
Cultural awareness in emotional expression involves recognizing that cultural norms influence how individuals verbalize or demonstrate feelings, and offering culturally appropriate alternatives for expression.
- Direct verbal expression is not universally comfortable or appropriate.
- Non-verbal cues and alternative methods (e.g., art, writing) can be important.
- Respecting cultural boundaries builds trust and promotes client engagement.
Memory trick: Respect Their Culture, Find Their Voice.